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10/14/2019
Dr. Carol Rivers' Written Board Prep Materials
Dr. Rivers' Critical Q&A Pop Quiz
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Q: What is the appropriate initial study in a patient with headache, lethargy, nuchal rigidity and papilledema?
A: Computed tomography (CT) of the head should be done initially to exclude the presence of mass lesions prior to lumbar puncture.
The important consideration here is subarachnoid hemorrhage, secondary to a ruptured aneurysm. If meningitis is a possibility, administration of antibiotics should not be delayed.
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